Follow-up·December 27, 2023

On 12/27/2023 at 12:10 PM Licensing Program Analyst (LPA) Pang Lee arrived at facility location unannounced. LPA Lee was met by care staff Cynthia Navarro and explained the purpose of today’s visit. Care staff then called administrator Carmen Navarro. Administrator arrived approximately 40 minutes later. Today’s visit is in regard to a recent facility action report (FAR) from Alta Regional Center. A brief tour of the facility was conducted. LPA reviewed a copy of the FAR that was received from Alta. Upon review of the FAR, it was learned that client 1 (C1) was seated in a wheelchair near a window with a gait belt attached. When care staff was questioned regarding the gait belt, it was learned that there was no medical prescription for the use of the gait belt nor behavioral support documentation for its use. It was also learned that the facility was given corrective action plans for deficiencies cited under CCR Title 17 section 56054(a)(1) and section 56054(a)(3). It was also learned that the facility was placed on sanctions by ALTA Regional until all corrective action plans are completed in full. During today’s visit administrator, Carmen was able to provide LPA Lee a copy of a note from (C1) Physical Therapist, Jolie Gonzalez authorizing (C1) using the gait belt. It was also learned that Jolie have trained (C1) caregivers to use the gait belt to assist (C1) with transfers and ambulation. Per Jolie the belt is donned around (C1) waist to help with balance to prevent a fall and is not attached to (C1) chair to prevent (C1) form getting up or used in anyway as a restraint. Based upon review of information obtained Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. An exit interview was conducted, and a copy of this report was provided.